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Patients with this type of skull fracture require close observation to prevent complications such as the development of meningitis. Other associated injuries-including damage to the zygomatic arch, jugular vein, carotid artery, cranial nerves, and the bones of the ear and eardrum-may require surgery as well. Surgery may be necessary to repair the fracture.

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However, imaging tests such as X-rays, CT scans, or MRIs are used to confirm the diagnosis and evaluate the extent of the damage. The unique symptoms associated with a basilar skull fracture typically make this a straightforward injury to diagnose. This refers to deep bruising around the sockets of both eyes.įacial muscle weakness, balance problems, dizziness, ringing in the ears, visual difficulties, and nasal leakage can also be associated with this type of skull fracture. The mixture makes a distinctive ring pattern as it flows. This occurs when the patient has blood and cerebrospinal fluid leaking from the ear. This is deep bruising below the ears on the back of the skull. There are three well-known signs of a basilar skull fracture: The basal areas of the skull provide vital protection to the brain, the top of the spinal column, and the vascular structures running through the area. In about 75% of all cases, a patient with a basilar skull fracture has a temporal fracture.īasilar skull fractures are considered the most serious type of skull fracture. Clivus (an internal bony part of the skull behind the nasal cavity).In a car accident, the force of being ejected from a vehicle or slamming through the windshield is often the cause of a basilar skull fracture.īasilar skull fractures can happen in three areas of the skull: Car accidents, along with falls and assaults, are the most common causes of this type of head injury. About Basilar Skull Fracturesīasilar skull fractures occur when the skull strikes a hard object with great force.

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If you’ve suffered a basilar skull fracture or lost a loved one to this type of injury, you should contact an attorney immediately to learn how to protect your right to compensation. However, this type of skull fracture can lead to significant accident-related expenses for car accident victims.

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Pharmacy Mistakes & Prescription Drug Errorsīasilar skull fractures, also known as basal skull fractures or base-of-skull fractures, are not a common injury.Dabigatran: Kentucky’s Answer to a Prayer…Or a Nightmare?.Chemotherapy Overdose & Radiation Injuries.His one great achievement is being the father of three amazing children. He is one of the founders of the FOAM movement (Free Open-Access Medical education) and is co-creator of , the RAGE podcast, the Resuscitology course, and the SMACC conference. He created the ‘Critically Ill Airway’ course and teaches on numerous courses around the world. He coordinates the Alfred ICU’s education and simulation programmes and runs the unit’s education website, INTENSIVE. He is actively involved in in using translational simulation to improve patient care and the design of processes and systems at Alfred Health.

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He has completed fellowship training in both intensive care medicine and emergency medicine, as well as post-graduate training in biochemistry, clinical toxicology, clinical epidemiology, and health professional education. He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives.Īfter finishing his medical degree at the University of Auckland, he continued post-graduate training in New Zealand as well as Australia’s Northern Territory, Perth and Melbourne. He is on the Board of Directors for the Intensive Care Foundation and is a First Part Examiner for the College of Intensive Care Medicine. He is also a Clinical Adjunct Associate Professor at Monash University. He is a co-founder of the Australia and New Zealand Clinician Educator Network (ANZCEN) and is the Lead for the ANZCEN Clinician Educator Incubator programme.

persistent leaks >7 days have heightened risk of meningitis and are often surgically repairedĬhris is an Intensivist and ECMO specialist at the Alfred ICU in Melbourne.

most CSF leaks are conservatively managed.

can prescribe antibiotics to cover insertion of ICP monitor.

frequent cultures of leaking or draining CSF should be taken (send for B2 transferin) and infections treated specifically.

no role for prophylactic antibiotics (doesn’t reduce the risk of meningitis).

risk of meningitis from direct contact of CSF to sinus, nasopharynx or middle ear.

Carotid artery damage: dissection, pseudoaneurysm, thrombosis.

Inadvertent intracranial tube placement (nasogastric or nasal intubation).

VIIth (facial paralysis) and VIIIth (hearing loss) CN dysfunction.

fracture involving the floor of the cranial vault.

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